Dysphagia lusoria: A late onset presentation

Alice Bennett, Charles Cock, Richard Heddle, Russell Morcom

    Research output: Contribution to journalArticle

    13 Citations (Scopus)

    Abstract

    Dysphagia lusoria is a term used to describe dysphagia secondary to vascular compression of the oesophagus. The various embryologic anomalies of the arterial brachial arch system often remain unrecognised and asymptomatic, but in 30%-40% of cases can result in tracheo-oesophageal symptoms, which in the majority of cases manifest as dysphagia. Diagnosis of dysphagia lusoria is via barium swallow and chest Computed tomography scan. Manometric abnormalities are variable, but age-related manometric changes may contribute to clinically relevant dysphagia lusoria in patients who present later in life. Our report describes a case of lateonset dysphagia secondary to a right aortic arch with an aberrant left subclavian artery, which represents a rare variant of dysphagia lusoria. The patient had proven additional oesophageal dysmotility with solid bolus only and a clinical response to dietary modification.

    Original languageEnglish
    Pages (from-to)2433-2436
    Number of pages4
    JournalWorld Journal of Gastroenterology
    Volume19
    Issue number15
    DOIs
    Publication statusPublished - 2013

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